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What is the system design needed to facilitate whole person care in a market where behavioral health and intellectual and developmental disability (BHIDD) services are in a separate, carve-out system? In the Michigan Medicaid system with its carve-out model (see Michigan Medicaid System: An OPEN MINDS State Profile), there are 37 different types of programs in place to facilitate integrated service delivery according to a recent survey, Healthcare Integration and Coordination–2024/2025 Update: Survey Of Initiatives Of Michigan’s Public Mental Health System.

Among the many initiatives, there were three focused on services for consumers without a . . .

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